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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleNeurointervention

Arteriographic Demonstration of Slow Antegrade Opacification Distal to a Cerebrovascular Thromboembolic Occlusion Site As a Favorable Indicator for Intra-Arterial Thrombolysis

G.A. Christoforidis, Y. Mohammad, B. Avutu, A. Tejada and A.P. Slivka
American Journal of Neuroradiology August 2006, 27 (7) 1528-1531;
G.A. Christoforidis
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Y. Mohammad
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B. Avutu
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A. Tejada
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A.P. Slivka
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    Fig 1.

    Prethrombolysis midarterial phase (A) and late arterial phase (B) angiographic images and post-thrombolysis angiographic image (C) from a patient who underwent intra-arterial thrombolysis with complete recanalization (C). This patient presented with a left m1 segment occlusion (A, arrow). Note the delayed opacification of the distal m1 and proximal m2 segments (arrows).

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    Table 1:

    Post-thrombolysis mTIMI grades in patients with angiographic demonstration of a clot outline sign versus those who did not demonstrate a clot outline sign

    mTIMI Grade (%)
    0123
    Outline sign (n = 19)1 (5.3)0 (0)5 (26.3)13 (68.4)
    No outline sign (n = 68)21 (30.1)10 (14.7)17 (25)20 (29.4)
    Total (n = 87)22 (25.3)10 (11.5)22 (25.3)33 (37.9)
    • Note:—mTIMI indicates modified Thrombolysis in Myocardial Infarction flow grade.

    • * Pearson correlation (P = .0055).

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    Table 2:

    Multivariate logistic regression analysis for mTIMI grade after rejecting variables with P > .2

    ParameterEstimateP > χ2
    Outline sign0.300.0007
    Age−0.025.1183
    Time to treatment (min)0.004.1305
    Systolic blood pressure (SBP)−0.0137.1401
    Glucose0.009.0561
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American Journal of Neuroradiology: 27 (7)
American Journal of Neuroradiology
Vol. 27, Issue 7
August 2006
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Arteriographic Demonstration of Slow Antegrade Opacification Distal to a Cerebrovascular Thromboembolic Occlusion Site As a Favorable Indicator for Intra-Arterial Thrombolysis
G.A. Christoforidis, Y. Mohammad, B. Avutu, A. Tejada, A.P. Slivka
American Journal of Neuroradiology Aug 2006, 27 (7) 1528-1531;
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G.A. Christoforidis, Y. Mohammad, B. Avutu, A. Tejada, A.P. Slivka
Arteriographic Demonstration of Slow Antegrade Opacification Distal to a Cerebrovascular Thromboembolic Occlusion Site As a Favorable Indicator for Intra-Arterial Thrombolysis
American Journal of Neuroradiology Aug 2006, 27 (7) 1528-1531;

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